Sogol J Saghari MD a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A95790 Issued in CA

Legal business name

SOGOL J SAGHARI MD A PROFESSIONAL CORPORATION

Practice address

113 Waterworks Way
Suite 235
Irvine, CA 92618-3175

Phone

(310) 493-6649

Fax

(209) 538-6010

NPI assigned

Jan 24, 2013

Last updated

Feb 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sogol Jasmine Saghari, M.D.NPI 1114931763

Title

President

Phone

(310) 493-6649

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sogol Saghari, MD

  • Dermatology Physician
  • Irvine, CA
  • NPI 1114931763
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1184962284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183175",
            "telephone_number": "310-493-6649",
            "fax_number": "209-538-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183175",
            "telephone_number": "310-493-6649",
            "fax_number": "209-538-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOGOL J SAGHARI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "SAGHARI",
        "authorized_official_first_name": "SOGOL",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-493-6649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A95790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.